Sushant gesbqxpr
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OVERVIEW
Central venous pressure (CVP) is the pressure recorded from the right atrium or superior vena cava and is representative of the filling pressure of the right side of the heart
MEASUREMENT
CVP WAVEFORM
a = atrial contractionc = closing and bulging of the tricuspid valvex = atrial relaxation, with downward movement of the tricuspid valve during ventricular contractionv = passive filling of atrium (tricuspid valve still closed)y = ventricular filling with opening of the tricuspid valve
DETERMINANTS OF CVP
CVP approx = RAP
VR = MSFP – RAP / Resistance to venous return
ΔCVP = ΔV / Cv
Determinants include:
USE
Value and waveform assists with diagnosis of:
Determining:
Do not use CVP in isolation to assess fluid responsiveness
CAUSES OF RAISED CVP
CVP WAVEFORM ANALYSIS
Waveform abnormalities may indicate specific pathologies:
FACTORS DETERMINING ACCURACY
CVP measurement should be performed at end-expiration, without fluids running
OTHER INFORMATION
Journal articles
FOAM and web resources
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- Author or authors. The Author may be a government or corporate entity.
- Year.
- Title of report. Provide the report number in brackets if given.
- Publisher. Omit the publisher information if the author and the publisher are the same.
- DOI or URL is hyperlinked.
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